Care management service and falls prevention: a case-control study in a Chinese population.

Abstract:

OBJECTIVE:This study evaluates the effect of a care management service (CMS) on falls in older adults. METHOD:This is a retrospective case-control study with 78 CMS recipients as the case group who received CMS and another 312 community-dwelling frail elders as the control group.The groups were matched by age, gender, activity of daily living, cognitive impairment, and unsteady gait. Thus they were comparable in characteristics and frailty. RESULTS:Among the 390 participants, 89 older adults (23.0%) had falls in the 90 days prior to the survey. After controlling for the identified risk factors for falls, the odds ratio of CMS was 0.27 (95% confidence interval = 0.110-0.663, p < .01). DISCUSSION:These findings indicate that CMS recipients have a lower chance for falls compared to their counterparts. The two features of CMS (comprehensive assessment and multidisciplinary actions to reduce fall risks) are discussed.

journal_name

J Aging Health

authors

Leung AY,Lou VW,Chan KS,Yung A,Chi I

doi

10.1177/0898264309358764

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

348-61

issue

3

eissn

0898-2643

issn

1552-6887

pii

0898264309358764

journal_volume

22

pub_type

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